Abstract
A study cohort is a group of individuals with common characteristics who are initially defined and composed, then examined or tracked over a given time period. In a clinical trial, outlining the study cohort begins with clearly defined, study-specific eligibility criteria. Inclusion criteria and exclusion criteria together determine who is eligible to participate in the study. These selection or eligibility criteria are ascertained during the design phase of the study, with the study goals of the clinical trial in mind. Hence, establishing eligibility criteria primarily requires the precise definition of the primary and secondary study outcomes, which provides guidance for the sample size of the clinical trial that is required to detect a significant difference between the study intervention and control group. The eligibility criteria should be sufficiently narrow to ensure internal study validity, but sufficiently broad to allow for generalizability of the study results to the general population. In addition, eligibility criteria must be chosen carefully to allow for the feasible recruitment of study subjects into the clinical trial and must meet ethical criteria established by the National Institutes of Health (NIH).
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References
Szklo M. Population-Based Cohort Studies. Epidemiol Rev 20;1998:81–90.
Learn about clinical studies. At http://clinicaltrials.gov/ct2/info/understand#types. Accessed 1 Mar 2013.
Van Spall HG, Toren A, Kiss A, Fowler RA. Eligibility criteria of randomized controlled trials published in high impact general medical journals: a systematic sampling review. JAMA. 2007;297:1233–40.
Chin R, Lee BY. Patient selection and sampling: key components of clinical trials and programs. In: Principles and practice of clinical trial medicine. Boston: Academic; 2008.
Schulz KF, Grimes DA. Sample size calculations in randomised trials: mandatory and mystical. Lancet. 2005;365(9467):1348–53.
Kirby A, et al. Determining the sample size in a clinical trial. Med J Aust. 2002;177:256–7.
Caldwell PHY, Hamilton S, Tan A, Craig JC. Strategies for increasing recruitment to randomised controlled trials: systematic review. PLoS Med. 2010;7(11):e1000368. doi:10.1371/journal.pmed.1000368.
Browner WS, Newman TB, Cummings SR, Hulley SB. Estimating sample size and power. In: Hulley SB, Cummings SR, Browner WS, Grady D, Hearst N, Newman TB, editors. Designing clinical research: an epidemiologic approach. 3rd ed. Philadelphia: Lippincott Williams & Wilkins; 2001. p. 65–84.
Nottage M, Siu L. Principles of clinical trial design. J Clin Oncol. 2002;20:42s–6.
Stoney CM, Johnson LL. Development and conduct of studies. In: Principles and practice of clinical research. Amsterdam: Elsevier; 2012.
Mapstone J, Elbourne D, Roberts IG. Strategies to improve recruitment to research studies. Cochrane Database Syst Rev. 2007;(2):MR000013.
Treweek S, Mitchell E, Pitkethly M, Cook J, Kjeldstrom M, Johansen M, Taskila TK, Sullivan F, Wilson S, Jackson C, Jones R, Lockhart P. Strategies to improve recruitment to randomised controlled trials. Cochrane Database Syst Rev. 2010;(4):MR000013.
Friedman LM, Furberg C, DeMets DL. Study populations. In: Friedman LM, et al., editors. Fundamentals of clinical trials. New York: Springer Science and Business Media/LLC; 2010.
Moher D, Schulz KF, Altman D. The CONSORT statement: revised recommendations for improving the quality of reports of parallel-group randomized trials. JAMA. 2001;285:1987–91.
The Belmont Report. Office of the Secretary, Ethical Principles and Guidelines for the Protection of Human Subjects of Research; The National Commission for the Protection of Human Subjects of Biomedical and Behavioral Research. 1979. At http://www.hhs.gov/ohrp/humansubjects/guidance/belmont.html. Accessed 1 Mar 2013.
NIH Policy and Guidelines on the Inclusion of Women and Minorities as Subjects in Clinical Research – Amended. 2001. At http://grants.nih.gov/grants/funding/women_min/guidelines_amended_10_2001.htm. Accessed 1 Mar 2013.
NIH Policy and Guidelines on the Inclusion of Children as Participants in Research Involving Human Subjects. 1998. At http://grants.nih.gov/grants/guide/notice-files/not98-024.html. Accessed 1 Mar 2013.
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McElroy, L.M., Ladner, D.P. (2014). Defining the Study Cohort: Inclusion and Exclusion Criteria. In: Pawlik, T., Sosa, J. (eds) Success in Academic Surgery: Clinical Trials. Success in Academic Surgery. Springer, London. https://doi.org/10.1007/978-1-4471-4679-7_11
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